DR. LISA M KOULISH MD
NPI 1558528125
Pediatrics in White Marsh, MD
About Dr. Lisa M Koulish Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA M KOULISH MD (NPI 1558528125) is an individual pediatrics provider in White Marsh, Maryland, licensed in Maryland (D0067689) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lisa M Koulish Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Koulish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nottingham, MD 21236
- Reassigned Medicare billing, Maryland enrollment
- 952 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITE MARSH, MD 21236
NOTTINGHAM, MD 21236
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Koulish's NPI number?
The NPI number for Lisa Koulish is 1558528125. It was assigned to this individual provider in the NPPES registry on May 20, 2008.
Where is Lisa Koulish located?
Lisa Koulish practices at 4924 Campbell Boulevard Suite 200, White Marsh, MD 21236. The listed phone number is (443) 442-2300.
What is Lisa Koulish's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Lisa Koulish enrolled in Medicare?
Yes. Lisa Koulish is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Koulish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Koulish reassigns Medicare benefits to Johns Hopkins Community Physicians, Inc (Nottingham, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Koulish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Koulish was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Lisa M Koulish, MD · NPI 1558528125
Pediatrics physician in White Marsh, Maryland. Individual provider, active in the CMS NPPES registry since May 20, 2008.
## Identity
- **NPI:** 1558528125 (Entity type: Individual)
- **Enumerated:** May 20, 2008
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D0067689 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4924 CAMPBELL BOULEVARD, SUITE 200, White Marsh, MD 21236
- **Phone:** (443) 442-2300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Johns Hopkins Community Physicians, Inc (NPI 1194546192, Nottingham, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1558528125) · Data from the CMS NPPES public registry.